MEDICARE: JO D FADDIS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	000295	GA

General Provider Information

NPI Number	:	1376892703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JO D FADDIS INC

Provider Business Mailing Address
First Line	:	2310 BRIARCLIFF RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2802
Country	:	US
Telephone Number	:	404-325-0738
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 BRIARCLIFF RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-2802
Country	:	US
Telephone Number	:	404-325-0738
Fax Number	:

Authorized Official
Title or Position	:	MARRIAGE & FAMILY THERAPIST
Name	:	DR. JO D FADDIS
Credential	:	LMFT
Telephone Number	:	404-325-0738

Provider Enumeration Date	:	08/30/2012
Last Update Date	:	08/30/2012

Similar Medicare Providers

1346333200 — DR. JO D FADDIS DMIN
Practice Location Address:

2310 BRIARCLIFF RD NE
ATLANTA, GA
30329-2802

Practice Phone: 404-325-0738
Practice Fax:

1821015355 — MISS ASHLEY JEAN ROBERTS MS, ATC
Practice Location Address:

1022 RIVERBEND CLUB DR SE
ATLANTA, GA
30339-2802

Practice Phone: 770-980-1618
Practice Fax:

1396031894 — KERRI LYNNE WHITE ATC
Practice Location Address:

1025 RIVERBEND CLUB DR SE
ATLANTA, GA
30339-2802

Practice Phone: 704-724-8063
Practice Fax:

1811269533 — ROSE HAVEN HEALTHCARE LLC
Practice Location Address:

200 LIVE OAK ST
ATLANTA, TX
75551-2802

Practice Phone: 903-796-4127
Practice Fax:

1073927018 — WINNIE-STOWELL HOSPITAL DISTRICT
Practice Location Address:

200 LIVE OAK DR
ATLANTA, TX
75551-2802

Practice Phone: 903-796-4127
Practice Fax:

1598540668 — MRS. BRITTNEY HOLMES JACKSON MFT
Practice Location Address:

836 METROPOLITAN PKWY SW
ATLANTA, GA
30310-2802

Practice Phone: 404-586-0180
Practice Fax:

Directions to “JO D FADDIS INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.